Organization
BAC FOUNDATION
Active
Organization
BAC FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TUREL (CEO)
(678) 877-5254
Entity
Organization
Contact information
Practice address
8500 PINES RD 19, SHREVEPOT, LA 71129
(678) 877-5254
Mailing address
8500 PINES RD UNIT 19, SHREVEPORT, LA 71129-4439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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